TY  - BOOK
AU  - Damle, Lauren F
AU  - Gomez-Lobo, Veronica
TI  - Isolated fallopian tube torsion in pediatric and adolescent females: a retrospective review of 15 cases at a single institution
SN  - 1083-3188
KW  - *Fallopian Tube Diseases/su [Surgery]
KW  - *Torsion Abnormality/su [Surgery]
KW  - *Torsion Abnormality/us [Ultrasonography]
KW  - Abdominal Pain/et [Etiology]
KW  - Adolescent
KW  - Child
KW  - Fallopian Tube Diseases/co [Complications]
KW  - Fallopian Tube Diseases/us [Ultrasonography]
KW  - Female
KW  - Humans
KW  - Ovarian Cysts/us [Ultrasonography]
KW  - Retrospective Studies
KW  - Salpingectomy
KW  - Torsion Abnormality/co [Complications]
KW  - MedStar Washington Hospital Center
KW  - Obstetrics and Gynecology/Pediatric and Adolescent
KW  - Journal Article
N1  - Available online through MWHC library: 2002 - present
N2  - CONCLUSIONS: Isolated fallopian tube torsion is a rare condition that seems to occur in younger adolescents. Vague clinical presentation contributes to low preoperative suspicion. Preoperative suspicion may be increased based on radiographic findings of an enlarged tubular structure or an adjacent normal ovary. Management may be considered nonemergent and salpingectomy is controversial. Long-term fertility outcomes must be further assessed for more definitive decisions regarding surgical management. Copyright  2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved; DESIGN: Retrospective review; INTERVENTION: None; MAIN OUTCOME MEASURE: Isolated fallopian tube torsion; PARTICIPANTS: Case series of pediatric and adolescent females, <21 years old, with operatively diagnosed isolated fallopian tube torsion from our institution; RESULTS: Fifteen cases of isolated fallopian tube torsion were identified based on intraoperative diagnosis. Patient ages ranged from 8-15 years old, mean age of 12. Fourteen patients (93%) presented with abdominal pain, 8 (53%) localized to the side of associated torsion. Ultrasonography reports described a tubular structure in 4 patients and an associated ovarian or paraovarian cyst in eleven patients. Suspicion of fallopian tube torsion was only described for those patients with a tubular structure described on ultrasonography report. Intraoperatively, 7 patients (47%) were found to have no associated pathology and 8 (53%) were found to have associated cyst or hydrosalpinx. Eight (53%) patients underwent salipingectomy and 7 (47%) underwent reversal of torsion with drainage of associated cyst or cystectomy; SETTING: Tertiary care medical center; STUDY OBJECTIVE: To identify and review cases of isolated fallopian tube torsion (FTT) at our institution to further characterize diagnosis and management
UR  - http://dx.doi.org/10.1016/j.jpag.2013.02.010
ER  -